Average Medicaid Substance Abuse Treatment Payments
Typical Medicaid Substance Abuse Treatment reimbursement across 5,169 cities
Avg. Medicaid Paid
$58.84
Price Range
$0.00 – $10,105
Total Claims
490.4M
Cities
5169
Typical Payment Range
Typical Medicaid Substance Abuse Treatment payments fall between $34.14 and $105.27 per claim (median: $65.20). The top 10% of payments exceed $163.43.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Wheeling, WV | $104.80 | $0.00 – $197.84 | 253,274 | 9 |
| Irvington, NJ | $60.95 | $31.58 – $111.23 | 253,517 | 12 |
| Pineville, LA | $107.97 | $15.00 – $145.12 | 253,569 | 11 |
| Norwood, MA | $53.46 | $53.46 – $53.46 | 257,195 | 1 |
| Edgewood, MD | $97.94 | $46.79 – $208.78 | 261,273 | 9 |
| Orem, UT | $15.84 | $10.96 – $108.83 | 261,285 | 8 |
| Warwick, RI | $71.84 | $0.00 – $243.33 | 262,030 | 18 |
| Kinston, NC | $221.99 | $185.60 – $247.21 | 262,229 | 4 |
| Marion, OH | $64.83 | $0.00 – $300.20 | 262,513 | 120 |
| Rio Rancho, NM | $127.50 | $0.00 – $235.79 | 263,531 | 38 |
| Edmond, OK | $66.31 | $0.00 – $94.74 | 264,781 | 161 |
| Watsonville, CA | $20.35 | $0.00 – $209.28 | 265,540 | 14 |
| Santa Rosa, CA | $71.21 | $0.00 – $145.65 | 265,758 | 24 |
| Escondido, CA | $86.46 | $0.00 – $345.79 | 266,008 | 27 |
| Largo, MD | $9.12 | $0.00 – $171.85 | 267,239 | 6 |
| Coeur D Alene, ID | $145.14 | $0.00 – $441.50 | 267,819 | 29 |
| Berkeley, CA | $34.05 | $0.00 – $230.00 | 269,177 | 6 |
| Morgantown, WV | $159.08 | $0.00 – $264.86 | 269,823 | 12 |
| Waverly, OH | $94.71 | $11.26 – $267.60 | 270,273 | 158 |
| Bowling Green, KY | $193.78 | $0.00 – $1,341 | 272,279 | 36 |
| Louisville, CO | $42.13 | $41.87 – $228.25 | 274,908 | 4 |
| Terre Haute, IN | $390.49 | $25.69 – $418.91 | 279,406 | 12 |
| Birmingham, AL | $57.15 | $7.98 – $166.46 | 280,753 | 19 |
| Norfolk, VA | $107.11 | $0.00 – $526.00 | 281,422 | 20 |
| Farmington, MO | $87.60 | $0.00 – $97.48 | 285,124 | 7 |
| Annandale, VA | $19.82 | $15.37 – $242.04 | 286,917 | 3 |
| Northbrook, IL | $110.85 | $110.10 – $110.89 | 287,404 | 2 |
| Grandville, MI | $11.90 | $11.90 – $11.90 | 288,908 | 1 |
| Sun Valley, CA | $21.26 | $21.26 – $21.26 | 289,411 | 1 |
| Carmel, IN | $89.04 | $18.61 – $359.05 | 289,866 | 5 |
| Vallejo, CA | $51.65 | $0.00 – $138.22 | 291,073 | 16 |
| Beloit, WI | $10.93 | $5.23 – $60.06 | 292,167 | 37 |
| North Hollywood, CA | $49.01 | $0.00 – $254.32 | 292,970 | 8 |
| Renton, WA | $2.83 | $0.00 – $153.58 | 294,564 | 40 |
| Bremerton, WA | $11.43 | $0.00 – $177.92 | 295,055 | 115 |
| South Portland, ME | $91.27 | $0.00 – $255.44 | 297,857 | 52 |
| New Brighton, MN | $108.40 | $6.89 – $863.35 | 298,778 | 18 |
| Palmdale, CA | $30.96 | $0.00 – $533.19 | 298,910 | 10 |
| Bend, OR | $87.95 | $0.00 – $952.61 | 303,178 | 221 |
| Barboursville, WV | $125.01 | $125.01 – $160.59 | 304,616 | 2 |
| Pinehurst, NC | $23.95 | $0.00 – $24.00 | 305,476 | 5 |
| Richmond, MI | $57.48 | $57.48 – $57.48 | 305,959 | 1 |
| Covington, LA | $85.30 | $0.78 – $131.85 | 307,083 | 10 |
| Brooklyn Park, MD | $119.18 | $61.92 – $171.03 | 307,102 | 3 |
| Gastonia, NC | $100.79 | $0.00 – $701.57 | 307,968 | 20 |
| Sherwood, OR | $10.12 | $0.00 – $241.60 | 310,529 | 4 |
| Tulare, CA | $17.92 | $0.06 – $18.76 | 311,374 | 2 |
| Joplin, MO | $30.99 | $0.00 – $719.00 | 312,609 | 16 |
| Manteca, CA | $28.23 | $26.52 – $28.24 | 313,672 | 2 |
| Corbin, KY | $81.99 | $0.00 – $136.26 | 314,313 | 38 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | $20.02 | 312,323,784 | 3,904 |
| H0004 | Alcohol and/or drug services | $89.45 | 73,272,784 | 23,966 |
| H0038 | Self-help/peer svc per 15min | $102.60 | 30,385,812 | 7,670 |
| H0015 | Alcohol and/or drug services | $152.04 | 25,053,675 | 9,061 |
| H0005 | Alcohol and/or drug services | $53.46 | 23,222,742 | 9,936 |
| H2036 | A/d tx program, per diem | $258.14 | 18,209,988 | 1,399 |
| H0023 | Alcohol and/or drug outreach | $129.61 | 9,489,348 | 1,230 |
| H2035 | A/d tx program, per hour | $133.88 | 8,557,719 | 772 |
| H0006 | Alcohol and/or drug services | $58.37 | 8,299,938 | 8,185 |
| H0025 | Alcohol and/or drug preventi | $59.91 | 4,103,530 | 1,218 |
| H0010 | Alcohol and/or drug services | $422.31 | 3,875,371 | 395 |
| H0001 | Alcohol and/or drug assess | $82.04 | 3,265,107 | 5,031 |
| H0002 | Alcohol and/or drug screenin | $50.82 | 3,220,721 | 4,504 |
| H0049 | Alcohol/drug screening | $6.25 | 2,594,750 | 4,239 |
| H0022 | Alcohol and/or drug interven | $34.60 | 942,099 | 951 |
| T1012 | Alcohol/substance abuse skil | $61.60 | 820,776 | 236 |
| H0014 | Alcohol and/or drug services | $206.17 | 618,111 | 786 |
| H0012 | Alcohol and/or drug services | $266.77 | 587,849 | 172 |
| H0050 | Alcohol/drug service 15 min | $39.26 | 340,958 | 472 |
| H0007 | Alcohol and/or drug services | $261.94 | 101,784 | 110 |
| T1006 | Family/couple counseling | $172.57 | 38,563 | 50 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.